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Organization
LORAH INC
Active
Organization
LORAH INC
Active
Other names
ActiveRx Chicago Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LOUISE MARIE JUCKNIESS (MANAGING PARTNER)
(888) 960-4562
Entity
Organization
Contact information
Practice address
201 E OGDEN AVE, SUITE 218, HINSDALE, IL 60521-3633
(888) 960-4562
(630) 571-6038
Mailing address
PO BOX 471, HINSDALE, IL 60522-0471
(888) 960-4562
(630) 571-6038
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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